Lead Adv Practice Provider - ADMIN CVH-APP - Full Time (Rotating -12 hrs)

Stanford Health Care•Stanford, CA

2d•$100 - $133•Onsite

About The Position

Stanford's Cardiac Surgery Intensive Care Unit (CVICU) is seeking a highly skilled and motivated Advanced Practice Provider (APP) to join our dynamic team. As part of the CVICU team, the APP will play a vital role in the management of post-operative cardiac surgery patients, providing high-quality care in a fast-paced and critical environment. This position offers the opportunity to work with a multidisciplinary team of physicians, nurses, and other healthcare providers in a cutting-edge clinical setting. A Brief Overview Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line. Provides clinical direction and education, works closely with operational and physician leaders, and has oversight of hiring, termination, and professional growth and development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or the Physician Assistant (PA) Job Description approved by the Interdisciplinary Practice Committee (IDPC). Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination

Requirements

Advanced Practice Nurse: Master's or Doctorate Degree in Nursing or other healthcare-related field from an accredited university.
Physician Assistant: Bachelors degree in Science, Physician Assistant Studies, or Healthcare related field from an accredited university.
A minimum of one (1) year of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist).
Knowledge of: Management principles and practices such as, but not limited to, employee hiring, evaluation, counseling, and termination; budgeting; and employee recognition and rewards.
Practice evaluation and process improvement.
National professional organizational and regulatory agency initiatives.
Standards of care and practice of APP roles.
Ability to: Knowledge and demonstrated clinical competence and in depth knowledge in specialty.
Knowledge of the organization and operation of trauma services necessary to ensure the delivery of quality, cost-effective and efficient patient care.
Ability to communicate effectively, both orally and in writing.
Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation.
Ability to plan, organize, prioritize, work independently and meet deadlines.
Ability to promote a spirit of inquiry and practice based on evidence by using research based knowledge or research utilization methods to identify and implement innovations in patient care and/or participating in research, clinical investigatory or quality projects.
Ability to use educational strategies to influence the development of staff and the provision of quality care for patients and families.
Communicate effectively in many venues from individual 1-on-1 sessions to a large audience.
Recognize/reward or counsel staff.
Have strong written and verbal communication skills.
Conduct efficient and supportive process improvement activities.
Contribute positively, proactively, and adeptly in institution-wide and Center of Advanced Practice initiatives.
Translate and implement national initiatives at SHC.
Ability to work full-time.
PA - Physician Assistant State Licensure or RN - Valid California license to practice as a Registered Nurse - AND - one of the following advanced practice nursing licenses is qualifying: (a) NP - Valid California license to practice as a Nurse Practitioner as well as having current national certification,(b) CNS - Valid California license to practice as a Clinical Nurse Specialist as well as having current national certification, or (c) CRNA - Valid California license to practice as a Certified Registered Nurse Anesthetist as well as having current national certification.

Nice To Haves

Three (3) years of APP experience preferred.
Management experience preferred.

Responsibilities

Provide comprehensive care to 4-6 post-cardiac surgery patients per shift in the CVICU setting, including assessment, diagnosis, treatment, and ongoing management.
Manage patient care through rounding, formulating care plans, putting in orders, and adjusting treatment protocols as necessary.
Monitor patients’ progress and response to treatment, addressing complications or changes in condition promptly.
Coordinate care with attending surgeons, cardiologists, anesthesiologists, and other specialists as needed.
Central and Arterial lines
Bedside echocardiography and ultrasound
Bronchoscopies
Complete timely and accurate documentation, including progress notes, procedure reports, and discharge summaries.
Ensure clear and effective communication with the multidisciplinary team regarding patient status, changes, and discharge planning.
Precept and mentor APP Fellows in the Cardiac Surgery APP Fellowship program, providing guidance, feedback, and educational opportunities.
Supervise and support student learners (nurse practitioner and physician assistant students) during clinical rotations.
Work closely with attending surgeons, intensivists, and nursing staff to deliver optimal patient care in the CVICU.
Co-direct the clinical, operational, and administrative initiatives of the service line Medical Director and unit nursing management team.
Conduct regularly scheduled meetings with the staff APPs.
Ensure clinical competency and adherence to policy through practice analysis and case review of APPs with physicians.
Investigate and respond to patient/family complaints from patients and families about care.
Orient new staff APPs.
Provide education to staff APPs.
Participates as a representative the in hospital-wide committees.
Serve as a representative on the professional and evaluation committees.
Ensures all operational mandates and initiatives are completed (e.g., C-I-CARE rounds).
Review and participate in financial planning and issues for the service.
Participate in the hiring, evaluation, coaching, mentoring, and discipline of staff APPs.
Investigate and resolve operational issues.
Coordinate quality improvement/process improvement programs.
Provide 24-hour administrator on-call coverage for the service line.
Coordinate the scheduling of the APPs.
Other duties as assigned.
Ensure compliance and participate in Medical Staff Services initiatives, policies and procedures.
Be informed of and advocate for practice models that allow clinicians to practice to the fullest extent of their scope of practice.
Participate in regional and national discussions that affect APP practice.
Work with hospital operations in regards to funding/billing/reimbursement models.
Participate in the legislative and health policy issues affecting advanced practice.